These combinations are not usually physically harmful, but may produce undesirable effects. Use caution.
Note: At 25-50mg, DPH may assist with side effects of the DMT such as nausea and anxiety. At higher dosages, the combination of a deliriant (DPH) and DMT is cautioned against. DMT is likely to increase the deliriant and negative effects of DPH, in addition to increasing the risk of severe injury and mental trauma.
Substances in these categories
Diphenhydramine
DMT
Sources
- Neuropharmacology of N,N-Dimethyltryptamine. Brain Research Bulletin, 126(Pt 1), 74–88. — Carbonaro, T. M., & Gatch, M. B. (2016)
- Carrier-Mediated Cocaine Transport at the Blood-Brain Barrier as a Putative Mechanism in Addiction Liability. International Journal of Neuropsychopharmacology, 18(1), pyu001. — Chapy, H., Smirnova, M., André, P., Schlatter, J., Chiadmi, F., Couraud, P.-O., Scherrmann, J.-M., Declèves, X., & Cisternino, S. (2014)
- Antiemetic Histamine H1 Receptor Blockers. In StatPearls. StatPearls Publishing. — Schaefer, T. S., Patel, P., & Zito, P. M. (2025)
- Focus on Over-the-Counter Drugs’ Misuse: A Systematic Review on Antihistamines, Cough Medicines, and Decongestants. Frontiers in Psychiatry, 12, 657397. — Schifano, F., Chiappini, S., Miuli, A., Mosca, A., Santovito, M. C., Corkery, J. M., Guirguis, A., Pettorruso, M., Di Giannantonio, M., & Martinotti, G. (2021)
- Diphenhydramine: Time to Move on? The Journal of Allergy and Clinical Immunology: In Practice, 10(12), 3124–3130. — Wolfson, A. R., Wong, D., Abrams, E. M., Waserman, S., & Sussman, G. L. (2022)
Interaction Matrix
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These drugs work together to cause an effect greater than the sum of its parts. They aren't likely to cause an adverse or undesirable reaction when used carefully.
Effects are additive. The combination is unlikely to cause any adverse or undesirable reaction beyond those that might ordinarily be expected from these drugs.
One substance may reduce or counteract some of the effects of the other.
These combinations are not usually physically harmful, but may produce undesirable effects. Use caution.
There is considerable risk of physical harm when combining these substances. Use extreme caution.
These combinations are considered dangerous and should be avoided.
The interactions between these substances are not well documented.